NEMANJA RODIC
Resident Physician


Address: 4712 Windom Place Nw, Washington, DC 20016

NEMANJA RODIC (Credential# 1490940) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2016. The license expiration date date is June 30, 2021. The license status is ACTIVE.

Business Overview

NEMANJA RODIC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.059042-RES. The credential type is resident physician. The effective date is July 1, 2016. The expiration date is June 30, 2021. The business address is 4712 Windom Place Nw, Washington, DC 20016. The current status is active.

Basic Information

Licensee Name NEMANJA RODIC
Credential ID 1490940
Credential Number 1.059042-RES
Credential Type Resident Physician
Credential SubCategory RES
Business Address 4712 Windom Place Nw
Washington
DC 20016
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-07-01
Effective Date 2016-07-01
Expiration Date 2021-06-30
Refresh Date 2020-05-27

Other licenses

ID Credential Code Credential Type Issue Term Status
1230960 1.053449 Physician/Surgeon 2014-08-11 2020-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 4712 Windom Place NW
City Washington
State DC
Zip Code 20016

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Frank J Boruch 5149 Sherier Place Nw, Washington, DC 20016 Physician/surgeon 2020-03-01 ~ 2021-02-28
Antolin C Trinidad 4228 Wisconsin Avenue Nw, Washington, DC 20016 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Protestant Episcopal Cathedral Foundation Mount Saint Alban, Washington, DC 20016 Public Charity-exempt From Financial Requirements 2011-08-25 ~
Beth A Leeman Markowski Apt 523, Washington, DC 20016 Physician/surgeon ~
Alphatec PC 3820 Albermarle St Nw, Washington, DC 20016 Professional Engineer 1989-02-09 ~ 1990-01-31
George R Farrah 4337 Chesapeake Street N.w., Washington, DC 20016 Certified Public Accountant Certificate ~
Pcrm Legislative Fund 5100 Wisconsin Ave., Nw, Suite 400, Washington, DC 20016 Public Charity 2010-12-01 ~ 2011-11-30
Caroline A Cregan Md 3641 39th St Nw Unit C309, Washington, DC 20016 Controlled Substance Registration for Practitioner 2009-03-02 ~ 2011-02-28
Anthony S Barnes 4514 Hawthorne St Nw, Washington, DC 20016 Architect 2010-08-01 ~ 2011-07-31
Walter M Presnell 4100 Mass Ave Nw, Washington, DC 20016 Physician/surgeon 1984-12-27 ~ 1985-09-30
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Competitor

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City Washington
Zip Code 20016
License Type Resident Physician
License Type + County Resident Physician + Washington

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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